HomeMy WebLinkAboutCOM2014-00096 Final CDX Restrooms - COM Permit / Conditions - 12/18/2014 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (6Uu)4L/-i/uz
oN cop Phone: (360)427-9670, ext. 352
�r} Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
COMMERCIAL BUILDING PERMIT COM2014-00096
OWNER: WASHINGTON DEPT FISH &WILDLIFE RECEIVED: 7/9/2014
CONTRACTOR: LICENSE: EXP:
ISSUED: 9/18/2014
SITE ADDRESS: 3270 E STATE ROUTE 302 BELFAIR
EXPIRES: 3/18/2015
PARCEL NUMBER: 122167590041
LEGAL DESCRIPTION: TR 4-A OF SURV 15/99 TR 1 OF SP#2033
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CDX RESTROOMS NORTH BAYACCESS
General Information Construction &Occupancy Information
No. of Units: Type of Constr.:
Type of Use: RESTROOMS Insp.Area: No. of Bathrooms: Occ. Group:
Type of Work: NEW Fire Dist.: 2 No. of Stories: Exit Design. Load:
Valuation: $ 52,000.00
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2014-00096 Please refer to the following pages for conditions of this permit. Page 1 of 5
I
Plumbing Fixtures Mechanical Fixtures r«a
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee TIA/ 7/Q/9n1e ORa97 Fd R7?n1Ann
Planning Review Fee 'nAl 7/Qnme a:iin nn G99niAnn
EH Minor Plan Review Ttnr 7tq/gnla Rtnn nn ,99n1Ann
Building Permit Fee -nAr 71Q19n1A TF9;7 7r, s99mann
Building Permit Fee TIN 71Q19n1A 1.tR57 7F q1?n1ann
Total $2,173.04
CASE NOTES FOR
COM2014-00096
CONDITIONS FOR
COM2014-00096
1) This permit is approved to develop the site for placement of a modular structure that contains 2-restrooms for public use. The modular structure
manufactured by CXT Inc has been reviewed and approved by Labor and Industries.
The modular,alllructure shall be installed in accordance with manufacturer specifications for structures located in Seismic Design Category D2.
Provide inl6alition specifications on site for inspection.
x
2) Contractor registration laws a g verned under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are po ntial isks nd monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-64 982 person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X "
3) All approved plans are required to be on-site for inspection purposes. If inspection is called for and pla s aAnsite, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will bi harollected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
4) Owner gent i res onsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28
X
5) THE F ND A I STEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
X
6) The approved p"elan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, Approval WILL
NOT be grant d. irl addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason
Count uil I Department prior to any further inspections being performed or approvals granted.
X
COM2014-00096 Page 2 of 5
!) i nis structure is approvea as an unneaiea space as iaenunea Uy Uy uie MdbUn k,auiny 0V,111 1UdLtJU oununiy CAU111Nuuii vuwaniico.
X
8) A concrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete
foundation. In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I).
For more informati ontact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000.
X _;��
9) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INT RNAT N CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHAN OF SE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
10) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely
impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements
of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose.
For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a
driveway or access conne ng from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450.
For any construc on whi proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review
future planned w k hi ay affect your project.
X
11) Change to ap ro ed building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements),
Buildi lum /Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
12) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of a permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conforma ce wit international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Maso ty ilding Inspector shall be made prior to requesting additional inspec tions.
X
13) All property lines shall be clearly identified at the time of foundation inspection. X
14) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request in I inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-com iant wifh VAson County ordinances and building regulations.
X
15) All perm4er
days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time foreriod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of t eave prevented action from being taken. No more than one extension may be granted.
X
16) Recyclable mate ials & olid aste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be desig tome t needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.X
COM2014-00096 Page 3 of 5
f7) ALL SURFACE W R AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTI S N CREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
• SYSTEM R D WAY.
X
18) Approv pe d nsions and setbacks on site plan submitted 07-09-2014. Setbacks are measured from the furthest projection of the structure.
X
19) The pro osed p o. ct was approved with case no. SHB No.13-022 on April 21, 2014. The project must be consistent with all applicable policies
and of r pr vi i ns of the Shoreline Management Act, its rules, and the Mason County Shoreline Master Program.
X
20) All construction and demolition debris must be removed from the shore area after project completion. Proper d osal truction debris must
be on land in such a manner that debris cannot enter or cause water q lity degradation of State waters. X
21) Prior to final approval, all upland areas disturbed or newlyh
onstruction activities shall be seeded, vegetated or given an equivalent type
of erosion protection (silt fencing or straw matting). X
22) Temporary erosion control measures must be implemented to prevent water quality degradation of adjace, aters Petlands. Silt fencing, straw,
or surface matting must be installed and ma tained until upland vegetation has become established. X
23) The applicant acknowledges tha s r cr tional development was sited such that further shore protection measures will not be required for
protection of buildings. X
24) Parking shall be sufficient for 10 standard parking stalls (9 feet by 20 feet) and 2 handicap parking stalls (12.5 feet by 0 feet) It sufficient
maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the Idin nt4, and shall be
signed with the International Symbol of Access. Screening from adjacent residential properties is required. X
OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by
signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction ork is susp a period o 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP ICATION F 180 DA WILL NVALIDATE THE APPLICATION.
Signa re Date
P� OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2014-00096 Page 4 of 5
n ,
O
K CONCRETE MECHANICAL MANUFACTURED HOME D
IV
o Date By
A Footings I Setbacks Ribbons =
Gas Piping Z
o Interior Date By Interior-Date By Date By 0
Exterior Date By Exterior-Date By O
Point Load!Isolated Footings INSULATION Date By Z
BG/SLAB INSULATION
Date By Data By FIRE DEPARTMENT m
Foundation Walla Floors Date Bye{
Date By Data By DECKS -n
FRAMING Walls Date By to
Date By Data By PROPANE TANKS Qo
PLUMBING vault Date By
Date By OTHER r
Groundwork Attic +
Date y_�y g Data By Type.Date By
D.W.v DRYWALL Type- n
Date B Int Brace Wall Date By 0
Y
ogle By FINAL INSPECTION N
L
Water Line Fire Seperation
Date By Date By Date Z" �(� By IOiL- ,40b.
0
Pass or Request Inspect. m
Type of Insp. Fail Date Date Done By Comments as
i, l • ( 9/`{ lawkH L'&LL Seems
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Permit# MASON COUNTY .
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 32,70 6 ��f /�,I-t 50z-,-
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
und: Items listed below must be corrected to gain compliance
4) � 7 can Z v !
/K Win V J
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re4nspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
11natural1man made"
❑ This is not a complete inspection disasters.This is NOT a
Date zT/�`r Department CORRECTION NOTICE.
Inspector
nV1 PVT ' 'Infor oV TH1 ,4h, T '—* mr
Permit# ` ��` MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location '2,"74
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
�C Z
—r
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Cell for re-inspection when corrections are made before continuing ❑ please contact our office
❑Make corrections, items will be checked on next inspection regarding possible structural
❑OK to damage incurred by recent
This is not a complete inspection "natural/man made"
❑ P P disasters.This is eL4ra
Date ' T��)�r`.y Department 13 L��_ CORRECTION NOTICE
Inspector -,{�l(.�
DO NOT REMOVE THIS TAG
S,BtATfO�
O �
c S
�2
0
State of Washington
DEPARTMENT OF FISH AND WILDLIFE
Mailing Address: 600 Capitol Way N• Olympia,WA 98501-1091 -(360)902-2200,TOO(360)902-2207
Main Office Location: Natural Resources Building• 1111 Washington Street SE•Olympia,WA
December 11, 2014
Mr. Larry Kelly
Mason County Department of Community Development
Building III 426 W Cedar
Shelton WA 98584
Re: Permit No. COM2014-00096
North Bay Access Renovation, 3270 E State Route 302
Dear Mr. Kelly:
Absolute Construction has provided me with a Correction Notice (enclosed) for the
above project. Item 1 regarding handicap parking stalls has been reviewed by the
planning department and, per our phone conversation today, has been approved with
only one stall.
Item 2 regards verification of note 7 on sheet 12 of 14: "Area for CXT building to be over
excavated to a depth of 1 foot. Bottom area must be compacted to a minimum strength
of 1,500 pounds per square foot. After compaction, 6 inches of compacted crushed
surfacing top course (CSTC) is to be spread prior to installation of structure." These
conditions were met by the contractor. WDFW Inspector Gerald Robinett and Project
Engineer John Hansen both inspected the compaction and building placement.
Compaction of subgrade and CSTC was with both roller and "jumping jack" plate
compactor with a minimum of six passes. Final compaction and installation of toilet
structure was October 15, 2014.
Sincerely,
/-G I)en n
F. Gerth, P.E.
Chief Engineer
Capital and Asset Management Program
Enclosure
cc: John Hansen, Project Engineer, WDFW
Paul B. Sexton, Absolute Construction, LLC
Read File
NO TRESPASSING GRAPHIC SCALE
SIGN,TYP OF(2)
B o 10 m 40 ac
RESTORE GRASS 1 iwA- 201E
FIELD TD NATIVE O _ APPROX. PROPERTY UNE, SEE NOTE 1
SHORELINE HABITAT.
SEE SHEET 13 X X X X-X
Z 4 STRAND BARBED i . , I� r 1 , , NOTES:
WIRE FENCE, I I :', �%/;' '+I^++ \ / I I 1. BOUNDARY LINES NORTH OF PARCEL 12216-75-90042 ARE
ALONG TOP OF BANK i y +:p.+ ' l ' APPROXIMATE. A BOUNDARY SURVEY HAS NOT BEEN
150 LF :��;�a// i..,� ++I +�ti X V.
r� i' / YY, TV COMPLETED.
/�%�// +++i+ +w•' 2. THE OHWM LINE WAS IDENTIFIED, DELINEATED AND MARKED WIT-
J SURVEY FLAGS BY GEOENGINEERS IN OCTOBER 2012. THE
METHOD OF DELINEATION IS DESCRIBED IN THE CRITICAL AREAE
00 NOT DISTURB EXISTING / /,i ++ y++ / REPORT - WASHINGTON DEPARTMENT OF FISH &WILDLIFE
VEGETATION WITHIN ARCHAEOLOGICAL
AVOIDANCE AREA /j� -1++'++�++�.�+ ' / I NORTH BAY/VICTOR ACCESS AREA MASON COUNTY, WASHINGTON
SEE NOTE B ',; �C j I /', BY GEOENGINEERS (FILE NO. 3730-143-00, DATED NOVEMBER
9, 2012).
I // j���� "r+ . ♦ . 3. TRENCHING FOR UTILITIES SHALL BE PER DETAILS A. B. C.AND
D ON SHEET 10.
/ APPROVED
•� ' .I / �% •�/F+ + l ^� ' 1 p O ' rA P P R O V E® 4. IT IS ANTICIPATED THAT 11 PRECAST CURB BUMPERS CAN BE
SALVAGED FROM CURRENT PARKING LOT AND REUSED.
RESTORE GRASS MASON COUNTY D C D PLANNING S. THE PROPOSED WELL LOCATION IS ONLY VAUD FOR A
SHOR TO ELINE�HABITAT. !!Y" / /777ppp x ;a� �' 1 SITE PLAN REQUIRED TO B E 0 N SITE NON-POTABLE WATER WELL
eSEE SHEET 13 !:�; ++4 4` �� < 6. SEE SHEET 6 FOR SURVEY CONTROL POINT INFORMATION.
ti .. . : •++ 1++ l CHANG S SUBJECT TO APPROVAL
' + 7. NOT USED
II g 2 • • .+:+I*+�. ;♦ NEW CHAIN LINK ' / ! i2 / By Date (I L
6 AREA AARCHAEONDOGICAL BUFFER PERMAFINDINGSCE IX IN REPORT PREPARED ByOGICAL
4 / rs• i++ I+. Tt `X I FENCE ON EITHER' i STATISTICAL RESEARCH, INC (DATED FEBRUARY 2013).
O 1+++ .+t+ ' �51DE OF IXISTINGI
+a++A+4++�+ Ij+X I i FENCE I
EXISTING CONTROL 111
Po1M NOT USED _ .�.+ CP PARCEL 1 122ik-rsJ9oo4i\--1 APPROX. PARCEL BOUNDARY, SEE NOTE 1 1 FrcNn•
® I --
2` I PARCEL.122T6-75i90D42
II N WATER LINE
. - / / ! + • ... ! 20'X30' PARING AD
/ ` 9' ST PAR ING ALL 3�
EXTEND NEW WIRE / 75'OHWM SETBACK `\`�\�` " �.,., AN PAR STALL SANITARY SEWER
FENCE TO EX FENCE / / :.• i I \I 7 9 ..
-E ELECTRICAL UNE CONDUIT
FILTER STRIP PLANTING 4'CHAINUNK FENCE. ` `I�\\ M• I
a �� �v.v . 7
7 Ef 9
SEE SHEET'13 ®2/ � � � � _- � _I r � I � � I PLANNING:N G
o j /� ` \� I q I I'I I PLAN VEGETATED FILTER STRIP (SEE
e \ `SI(\'�k\\\\ \ a.. L_-1NST !h T'VAGEBI ACCESSIBLE. i PLANTING PLAN, SHEET 13)
F cv, �\\;; PARKING l ACCORPIN rp DEraL 5' I I ALL SETBACKS ARE MEASURED t
\\\ \ 7 9 I I I PROPOSED GRAVEL
5' WIDE CONCRETE;PAVEMENT'IN `/ \ \ � I I
FRONT of cxr STRUCTURE
' ':; FROM THE FURTHEST s
wwRARY I PROPOSED CONCRETE 7zB
i
PSTA 7 j j IPROJECTION OF THE BUILDINGUTILITY PARTIAL \`\\ ``\ ` NE Ill ES TO I i
i GPLAN R \\ \ ` \ `\ ' CXF TO" TCXT
MANUFAC R ( r I \\�\\\��\\
RE I OMMEN 1 I 1 \\\\ \.\ EXISTING GRAVEL
(3)THREE MAN BOULDERS.
"S 4' MIN CLEARANCE
3 BETNEEN BOULDERS
iii��� EXISTING ASPHALT
O \;`\\\ \ '` \ r, ROVID CXTI PRECAST TOI
- I/PRECAST CWRB11 NZ
1 do 1 FOR iDBUMPER TYP. ��� \ y�\I��`�` ``) ` ``' 1 I I t �• ,i I r
SEE NOTE I /`.. /; % ARCHEOLOGICAL AVOIDANCE AREA
( T OHWM
g a CP,6. 1, I MAINTAIN
LAE7fLTSTINC ? \\\��; \�;; 7 )r i I it I I j 1 Ij I ! i I I / /I,'',� _ _ _
SEE NOTE 31 l�;\\\\��;\ ��\I \. I SEE OTE 3 !{ /! // /// ifi 30' WETLAND SETBACK
g I PROPOSED WELL r \\\ \1� \\ \yp\ \ �\^ 7 ,
- o I LOCATION SEE .�\\\\ R`\ `L,\ \( \y NO 1 /j ,
- / NOTE 5 \` \ \\ \I 1 PARKINNNG �j ® THREE MAN BOULDER (B' DC.
"\\\ \`\ SIGN 7 UNO)
30'WETLAND \ \\.
g > SETBACK v v v v v v v v �v 1r� 1 1 I ' // /.•. 1 I PLANTED AREA(SEE PLANTING
4 ` ' I III 1 y (• // !,// I I' o PRECAST CURB BUMPER 6
a i �BE71.AND
• \ i BOUNDARY I 1 I
_7 SIGN _ti I I I I r /. //• X—X X— 4' CHAIN LINK FENCE
t
75' OHWM SETBACK
I• II
WETLAND 2
x DELINEATION 0j ❑ ❑ 4 STRAND BARBED WIRE FENCE
PER GEOENGINEERS SITE PLAN
1012312072 AL,. _
<o�
CHECK SET- NOT FOR CONSTRUCTION
mx 0
NORTH BAY ACCESS SITE PROJECT NO.
o��c`D�"./v�cr GINS NDRA INS PARKING AREA EXPANSION
WASHINGTON STATE MN:A671:13-1
-m° � (,Oreulthg Erga,ee�s �..` ��� ORIGINAL DRAWINGS
TaO nlerm 3hi son t.9 scare XID DESIGNED eY SITE PLAN
^' h , SYM DATE REVISION DESCRIPTION BY
o Tecrnla WeSllrxnon 518a07 RLo SHEET OF
c� � DEPARTMENT OF FISH AND WILDLIFE B , � APPROVED AND RELEASED E° `°R`°"S�D`TI°" — CHECKED B, SWK
Y ij;je% Fax 7 14
Sow /aLL CHI6 ENGINEER .. ... ...........DATE... DRAMN Bf RLO
CIE. RRDGRAp ..... __.wtE:....... pATE 06/23/2014
Lill
OWNER PROVIDED Cxr c- e SCALE
0 25 5 20
PRECAST TOILET, SEE e t GRAPHIC
SHEETS 17 h t2 FOR `\ '
\ DETAILS OA
CONTRACTOR SHALT. INSPECT d TO LAYING UTILITY LINES TO CONNECTi000LT PLUMBING DETAILS PRIOR \ I EXISTING FORCE AWN NOTES,
UNDER RIGHT OF 8
ENSURE NO CONFLICTS, `MAY 1. SEE SHEET 10 FOR TYPICAL TRENCHING
JI � SECTIONS.
1
\ I 2. SEE SHEET 6 FOR SURVEY CONTROL POINT
d INFORMATION.
\ B I KBI PVC SWING CHECK VALVE
\ 41 CLEANOIR MODEL KSC-2360 1 1/4- PVC 3. THE PORTION OF THE ELECTRICAL
E 1 I OR APPROVED EQUAL INSTALLATION FROM THE POLE TO THE METER
`\ 1 1-1/4•f HOPE SHALL BE PERFORMED BY THE UTILITY
\ R 155 I BS LIED MATERIALS ONTRACT��NATION TO
d PUMP STATION IS TO BE PURCHASED
\
w FROM MASON COUNTY PUD AND 4. 30'WETLAND SETBACK IS FOR THE WELL AND
INSTALLED BY CONTRACTOR WELL RELATED CONSTRUCTION. ALL OTHER
g
N: 100128.40 g I - CONSTRUCTION ACTIVITIES SHALL MAINTAIN A
/ E: 99968.97 60' MINIMUM WETLAND BUFFER UNLESS
Ir/ d 4'f DRAIN OTHERWISE DIRECTED IN PLANS.
\
I 5% MINIMUM SLOPE 5. CONTRACTOR TO SUPPLY ELECTRICAL DESIGN
% ` ` - CONNECT UTILITIES TO CXT SUBMITTAL TO OWNER INCLUDING A 1 LINE
\ DIAGRAM ILLUSTRATING PROPOSED PANEL,
STRUCTURE PER CX7 CIRCUITS,CONDUITS,AND ELECTRICAL LINES,
\ ` 1-1/4'a HD-7- '\ RECOMMENDATIONS AS WELL AS THE PRODUCT SPECIFICATIONS
�\ PRESSURE TANK AND CONTROLS FOR ALL PROPOSED ITEMS. COMPLETE
w ELECTRICAL UNE FOR WELL SWILL BE INSTALLED SUBMITTAL MUST BE APPROVED BY OWNER
` ,\ `\; / CONDUIT INSIDE CXT STRUCTURE SEE NOTE PRIOR TO UTILITY CONSTRUCTION.
I 5.
6. THE CONTRACTOR SHALL BE RESPONSIBLE FOR
\ ELECTRICAL METER SHALL BE OBTAINING ALL NECESSARY PERMRS FOR THE
INSTALLED BEHIND CXT STRUCTURE. PUMP STATION, WELL,AND ELECTRICAL
C I INSTALLATION.
\ _ I SEE NOTE 3
! 8 10
\ EDGE OF PAVEMENT
WELL CONSTRUCTION NOTES:
_-- 1. WELL SHALL BE CONSTRUCTED WITH 1-1/4'0
PITLESS ADAPTOR TO CONNECT WELL TO
WATER To
PRESSURE TANK
I EXISTING POWER POLE AND GUY LOCATED IN CXT STRUCTURE.
\ .\ EI.CTWGIL LINE CONDUIT WIRE
_I 2. PROPOSED WELL SITING LOCATION IS ONLY
I
VALID FOR A NON-POTABLE WATER WELL
N 3. WELL SHALL BE CONSTRUCTED TO COMPLY
1 WITH ANY AND ALL STATE AND COUNTY
\ m REGULATIONS INCLUDING WAD 173.
4. IT IS ANTICIPATED THAT THE-DRILLING DEPTH
FOR THE WELL IS 50-75 FEET,AND THAT
\. \A _ II $ THE WELL WILL BE AN ARTESIAN WELL AND
m WILL REQUIRE A FLOWING WELL SEAL IF WELL
1 I IS NOT AN ARTESIAN WELL A LOCK CAP
c \ I to SHALL BE INSTALLED.
K
\ I 5. PRESSURE TANK FOR WELL IS TO BE
rc `\ PROVIDED AND INSTALLED BY CXT INSIDE OF
e \ I 1 CXT STRUCTURE.
°m I
W WATER LINE
\
SANITARY SEWER LINE
E ELECTRICAL LINE CONDUIT
`/ \• ; i I '$ PROPOSED CONCRETE 7 9
5 x ;'\
\ I
$ S •\ I 1 ` \ `` \ EXISTING GRAVEL
O PITILESS ADAPTOR, SEE
S 0� LA
CONSTRUCTION \ \ /(y `` `\ I IZ'L 30' WETND SETBACK (SEE NOTE 4)
a m I \
THREE MAN BOULDER
PLACE THREE MAN
s BOULDERS TO E \
PROTECT WELL CAP
n AT 4'OC
U \
a \• _----- j I
g _ WELL GAP
SEE WELL
R K CONSTRUCTION NOTES
N:100044.98 CONTROLS FOR PUMP 30'WETLAND SETBACK FOR WELL, 1
- E: 99930.10 SHALL BE INSTALLED ALL OTHER CONSTRUCTION UTILITY FLAN
IN CXT STRUCTURE 7 8 CALF: t =
ACTIVITIES SHALL MAINTAIN A 60'
SETBACK CHECK SET"NOT FOR CONSTRUCTION
g � NORTH BAY ACCESS SITE PROJECT NO.
CalsAthV Engmws ,G,W{DE o &AR MEASURES
R m WASHING TON STATE �"�� ONE INCH ON MN:A671:13-1
g� ORIGINAL DRAWINGS PARKING AREA EXPANSION
rim; Ta M 39t Cn 9 SUHB SYM DATE REVISION DESCRIPTION DE9GNED En sIs UTILITY PLAN SHEET OF
o Tacrn>a. Was0inptpl 98407
U.
x ��O DEPARTMENT OF FISH AND WILDLIFE �,.�,t APPROVED AND RELEASED FOR CONSTRUCTION O„ECKD W SWK 8 1 4
A w IOIAL Ox' CHIEF E„CANEER .. OATS: DRAM!9Y SJS
C S x PROGRAM .. DATE .. DATE 06/23/2014
MASON COUNTY PERMIT NO.
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA_US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
txss Shelton,WA 98584 (360)482-5269 Elma ext. 352.
BUILDING PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME:
MAILING ADDRESS: O MAILING ADDRESS:
CITY: STATE: ZIP: Z) CITY: STATE: ZIP:
PHONE. LL: PHONE: CELL:
EMAIL: EMAIL:
.All L&I REG 4 EXP.
PARCEL LNF TION:
PARCEL NUMBER(12 DIGIT NUMBER)1 Z 16— 75 �7r�t- FIRE DISTRICT
LEGAL DESCRIPTION ABBREVIATED) :
SITE ADDRESS Z D d CITY
DIRECTIONS TO SIV ADDRESS
3, 57 !e 4- . �62
IS PROPERTY 200 FT:
SALTWATER� AKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO ❑
TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATIO REPAIR OTHER
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) �( G D
IS USE: PRIMARY SEASONAL OF E O S F BATHROO
DESCRIBE ORK O� S r 0 S
Ale-
e
SOU-ARE FOOTAGE:
1ST FLOOR sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq- ft. BASEMENT sq. ft.
DECK sq. ff. COVERED DECK sq.ft STORAGE sq.fL OTHER sq. ft-
GARAGE sq.fL ATTACHED ❑ DETACHED ❑ CARPORT sq. fL ATTACHED ❑ DETACHED ❑
N AN LTACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN
MAKE MODEL YEAR LENG
WIDTH BEDROOMS BATHS SERIAL NUMBER E ' 7 D
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revbcation
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contracttor.�further`
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from a1144e necessary
parties, including , ent holder or parties of interest regarding this project.The owner or authorized agentr}�esL1nts-that-the ` l
information provi ed is a urate and grants employees of Mason County access to the above described property and structure(s)for
review d insp ction. is ermit/application becomes null void if work or authorized construction is not commenced within 180
days or' con io ork' uspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
IN TION IN OF MIT APPLICATION OF 180 DAYS INVALI TE TH APPLICATION.
Sig ature of pplicant ate
X c OWNER/ REPRESENTATIVE /CONTRACTOR
P nt N me (CIRCLE TO INDICATE)
DEPAR AL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT i
PL.AI\TN�'G DEPARTMENT
FIRE MARSHAL